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w. o. ro�w�r/ � 9 8 � 'a �.+'GyG--�'-.+�.Y <br /> I �'— u ('i 1 3 <br /> CITY OF EVERETT-V�Iater Dept. <br /> Application No..,���;.y��_.. Date........%'<i_ /c <br /> , .........................19.�_j <br /> Install...---.....-1,f-..........:rch water;ervice pipe <br /> For 1�..:?'f��,�4 . <br /> ..... ......... a2._�,.�._ :,w�z`:<, i <br /> . . . <br /> �-f�l-....................................................... <br /> On ....._�f"--'.-...f����...::::���;�-,�� ....f�!•r,-u__, <br /> .. .........`:�xr.:............ Street <br /> Lot................../...�................................... Block No.....................---..._......... <br /> Addition ...........�t,�' <br /> �... :r.�r.:G:z.t.._............................................... <br /> Remarks ..�C-s:;..�.....:,-`-`-Y-�___ "' <br /> . .................-+....._........................._.......... <br /> . ............r..�..,�- . <br /> � ........... <br /> _ .�.....�.."'._.: ...:�,r_m s,.r_C:i..... <br /> ........ ...''�!.:'�_ .....�......�{:�5................_...................................................... <br /> ...../ <br /> ................................... <br /> ..... ..:.......: i. � tN � , <br /> • .. --..... <br /> i .........�................................................... <br /> ,c, :� .`_.C('..�.. <br /> .�'iw� 'v J Superintendent <br /> � . ._. �7. i-;,'. <br /> __ � LABOB AND MATERIAL DSED <br /> _1=�• � Size � <br /> ........................................... ..........I <br /> :.ead Connection Complete <br /> ........................... <br /> ' Saddle Complete <br /> ......................St............................ <br /> ......................................................................Pipe <br /> ............................ . ............ Service Cock <br /> ............................. <br /> ................. Ser7ice Dox <br /> ................_......... ............................... <br /> .......................... <br /> ................_.�_ ............................. r a ,' . <br /> - ,. ._ . <br /> ..........................................._.... <br /> ............................................ �c�;,'�?'. ,. <br /> . . . ...,,....;_,.., <br /> No. Hours Labor..............................................Cost........ <br /> Cutin...................Pavement....................X....... ............. ....................................... <br /> � . . ........................Sq.Ft. <br /> � ....................X........................ <br /> . . ........................ �� <br /> . ....................X........................ <br /> ........................ <br /> . ....................X........................ <br /> �� Total �— <br /> ........................Sq.Ft. <br /> Remarks.................... <br /> ............................................................ <br /> ............................ <br /> ................................................................ <br /> .................................................... <br /> ..................---................._. <br /> Order Received............................................................ -......... <br /> NarkCam � ................................. <br /> - Kleted........................ ....................... .......... � <br /> ............. ....... . . <br /> Foreman <br /> --.c�_ . .. ._ _.. .._ <br />